Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09501 | Date 25/06/2025 |
| Token No | SM/25-26/3960 25/06/2025 | Serial | 028 |
| Patient Name | Mrs. JABARANI NANDI | Contact No | 8420240169 |
| Address | 21/C CHANDRA MOHAN ROY LANE SERAMPORE 712201 | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||